Title
Receive the Natividad Medical Center Financial Report for June 30, 2018.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors' Budget Committee receive the Natividad Medical Center Financial Report for June 30, 2018.
SUMMARY/DISCUSSION:
The Board of Supervisors’ Budget Committee has charged NMC Administration to report monthly on the financial status of the institution.
The average daily inpatient census (ADC) for the month of June 30, 2018 was 108.9 as compared to a budget of 104.9. PEDS and OB/GYN patient days were below the budget for the month, while NICU, Medical/Surgical, ICU, Acute Rehab and Mental Health were higher than budget for the month. Adjusted patient days (including both inpatient and outpatient volumes) totaled 4,607 compared to budget of 4,469, a favorable variance of 3.1%. Emergency Department was higher than budget by 11.2%.
Actual net income for the month was $5.8 million compared to a budgeted net income of $0.8 million. Net patient revenues totaled $22.1 million compared to a budget of $18.9 million. Net revenues exceeded budget by 16.9% from improved payer mix. Revenues from Government Funding totaled $6.0 million compared to a budget of $3.6 million as a result of AB915 and SB1732 exceeding estimates. Other operating revenue totaled $1.2 million compared to a budget of $0.6 million. Operating expenses for the month were $23.4 million compared to a budget of $22.3 million. Unfavorable operating expense variances were noted in the areas of Salaries, Wages & Benefits of $534,493, Registry of $112,970, Physician Expense of $362,661, Purchase Services of $279,372, Insurance of $16,219 and Other Operating Expenses of $28,906. Cost per adjusted patient day was higher than budget by $98 or 2.0%. Net patient revenue per adjusted patient day was higher than budget by $567 or 13.4%.
The average daily inpatient census (ADC) for the year-to-date ended June 30, 2018 was 111.8 compared to a budget of 104.9. PEDS, OB/GYN and Mental Health patient days were below budget for the period, while NICU, Medical/Surgical, ICU and Acute Rehabilitation were higher than budget for the period. Adjusted patient days (including both inpatient and outpatient volumes) totaled 58,048 compared to budget of 54,361, a favorable variance of 6.8%. Emergency Department visits year to date through May 31, 2018 were higher than budget by 16.8%.
Actual net income for the year-to-date ended June 30, 2018 was $37.2 million compared to a budget net income of $9.2 million. Net patient revenues totaled $249.6 million compared to a budget of $226.4 million. Net revenues exceeded budget by 10.2% from improved payer mix. Revenues from Government Funding totaled $51.4 million compared to a budget of $43.3 million. Other operating revenue totaled $8.7 million compared to a budget of $7.2 million. Operating expenses for the year-to-date ended June 30, 2018 were $272.5 million compared to a budget of $267.7 million. Unfavorable operating expense variances were noted in the areas of Salaries, Wages, & Benefits of $5,839,925 Registry of $846,072, Physician Expense of $3,282,509, Insurance of $202,493 and Other Operating Expenses of $647,651. Cost per adjusted patient day was lower than budget by $229 or 4.7%. Net patient revenue per adjusted patient day was higher than budget by $134 or 3.2%
Year-to-date through June 30, 2018, the balance in cash - Fund 451 - including $3.2 million for the Seaside Clinics reserve was $80.0 million. Collections from patients and various payers were $19.5 million for the month. Year-to-date through June 3, 2018, the balance in cash Fund 404 was $75.5 million and the Strategic Reserve Funds was $25.0 million.
Patient receivables were $39.3 million. Distribution by payer: 11.7% MediCal, 7.0% MediCal Managed Care, 10.5% Medicare, 67.7% Commercial, 1.3% Self-Pay, and 1.8% Short Doyle. Distribution by aging: 22.1% In-House and under process, 45.9% between 0-60 days, 31.6% between 60-181 days and 0.4% over 181 days.
OTHER AGENCY INVOLVEMENT:
None.
FINANCING:
Accepting this report has no financial impact.
______________________________________
Daniel Leon, CFO
Natividad Medical Center
Date: September 10, 2018
Attachment: June, 2018 NMC Financial Statements